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NPI Code Detail

MEDICARE: MS. CHRISTINA MARIA WOLVERTON MA, LMFT, LPC

MEDICARE:  MS. CHRISTINA MARIA WOLVERTON  MA, LMFT, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC011261GA
2106H00000XMarriage & Family TherapistMFT001645GA

General Provider Information

NPI Number : 1801242219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MARIA WOLVERTON MA, LMFT, LPC
Provider Business Mailing Address
First Line : 814 JUNIPER ST NE STE 202
Second Line :
City : ATLANTA
State : GA
Zip : 30308-1300
Country : US
Telephone Number : 470-622-1536
Fax Number :
Provider Business Practice Location Address
First Line : 814 JUNIPER ST NE STE 202
Second Line :
City : ATLANTA
State : GA
Zip : 30308-1300
Country : US
Telephone Number : 470-622-1536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 01/03/2023

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Directions to “ MS. CHRISTINA MARIA WOLVERTON MA, LMFT, LPC” Practice Location

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